Hy guys, let me first introduce myself. I'm 21 years old male with idiopathic scoliosis, 37° lumbar(L4-T12) and 40° thoracic(T12-T5). Haven't had any pain in my back ever in my life, just some discomfort from deformity and strange feeling at the end of the day, feels like muscles get tired and can't really keep my spine upright. Damn gravity Sooo...my main worry now is my future, and stability or instability of my scoliosis. If I would remain like this all my life, i would't even think about surgery, at least not now with today's surgery techniques. I also hope that I will endure 20-30 more years and by then the surgical techniques will evolve enough and there will be more secure outcomes of these procedures. Enough of these...let's get to the point.
I would be gratefull if KevinMc could participate in the discussion because he is working in this territory.
My logical understanding makes me think that proper excercises could be beneficial in term of stabilizing the spine and avoiding progression at least in mature spine and moderate curves around 50°. I can only think of gravity being a problem in mature spine and reason for progression. Also, bone remodeling is possible and it surely happens with the curve progression after maturity, so if it can go one way, it must be possible to go another way also(in theory,it is more complicated in real world), or at least stay as it is.
This is my idea, and i tried to do it, and it feels sooo good- with side shift you can correct curves in frontal plane, with Schroth breathing you can derotare your thoracic spine and you also pay attention to your saggital profile. And do these all at the same time so you get 3D correction.
What interests me, and I think Kevin can help here, is which muscles are surrounding the spine and which muscles have the greatest impact on spine stability.
My idea is to incorporate 3D correction with some kind of strenghtening excercises, so that the muscles and in part ligaments "remember" what is their right position. Something like this: sit in torso rotation machine, put some kind of lift under my left buttock to reduce left lumbar curve, shift my torso to reduce thoracic curve, take deep breath in my thoracic concave side and upper part of lungs to derotate and lenghten my spine and then perform one repetition of torso rotation, back in starting position and all of these steps again until you aren't comfortable with doing another repetition, increase wight over time to boost your strenght and encurance. And also make couple of other excercises on the same scheme like this. I'm also interested in Alexander technique but that is another story... It would be great to hear from other people what they think about this and maybe give their own ideas for discussion.
PS: I know that researches conducted by the medical comunity say that PT does not have any influence on curve natural history but I think that these researces were not done correctly and are missleading, you have to know that your patients are really doing their excercises. Torso rotation research from dr. McIntire shows promise although it is done on relatively small number of patients. If I knew about this back then, this would be my first option in my treatment.
Really good research haven't even been done for brace effectiveness, and it is funny to even talk about PT research. This is just a discussion from lay people so don't get this too serious and please don't write "where is the evidence for this or that". Looking forward to hear some opinions